CC BY-NC-ND 4.0 · Revista Chilena de Ortopedia y Traumatología 2022; 63(02): e108-e122
DOI: 10.1055/s-0042-1755535
Artículo de Revisión | Review Article

Current Concepts in Double-Level Osteotomies around the Knee

Article in several languages: español | English
1   Grupo de Estudio Rodilla, Artroscopía y Reconstrucción, Chile
2   Hospital Ricardo Valenzuela Sáez, Rengo, Chile
2   Hospital Ricardo Valenzuela Sáez, Rengo, Chile
1   Grupo de Estudio Rodilla, Artroscopía y Reconstrucción, Chile
3   Hospital Sótero del Río, Santiago, Chile
David Figueroa-Poblete
4   Clínica Alemana, Departamento de Cirugía Ortopédica, Santiago, Chile
› Author Affiliations


With single-level osteotomy, correction of the limb axis in patients with combined femoral and tibial deformities can be achieved. This correction, however, will generate a pathological alteration in the joint line oblicuity, leading to ligament elongation, instability, joint degeneration and, ultimately, it will compromise the longevity and functional results of the correction. By analyzing the most recent literature, we can conclude that there is a significant number of patients who require a combined procedure to achieve an optimal biomechanical goal. The purpose of a double-level osteotomy around the knee is to restore normal anatomy, unload the affected compartment, normalize the mechanical angles and the orientation of the joint line. Physiological axes can be reestablished by means of a thorough preoperative analysis, observing the biomechanical principles and stable fixation with locked plates. It is a demanding procedure with increasing indications, which has progressively been established in clinical and biomechanical studies as a justified treatment alternative for the management of severe deformities around the knee.

Publication History

Received: 20 August 2021

Accepted: 20 June 2022

Article published online:
03 October 2022

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